The DOI matches its Crossref record; 87 of the 87 references it cites were found in a registry or an index.
Hospital malnutrition in Latin America: A systematic review
Open accessAbstract
BACKGROUND: Disease-related malnutrition is a major public health issue in both industrialised and emerging countries. The reported prevalence in hospitalised adults ranges from 20% to 50%. Initial reports from emerging countries suggested a higher prevalence compared with other regions, with limited data on outcomes and costs. METHODS: We performed a systematic literature search for articles on disease-related malnutrition in Latin American countries published between January 1995 and September 2014. Studies reporting data on the prevalence, clinical outcomes, or economic costs of malnutrition in an adult (≥18 years) inpatient population with a sample size of ≥30 subjects were eligible for inclusion. Methodological quality of the studies was assessed by two independent reviewers using published criteria. RESULTS: We identified 1467 citations; of these, 66 studies including 29 ,474 patients in 12 Latin American countries met the criteria for inclusion. There was considerable variability in methodology and in the reported prevalence of disease-related malnutrition; however, prevalence was consistently in the range of 40%-60% at the time of admission, with several studies reporting an increase in prevalence with increasing duration of hospitalisation. Disease-related malnutrition was associated with an increase in infectious and non-infectious clinical complications, length of hospital stay, and costs. CONCLUSION: Disease-related malnutrition is a highly prevalent condition that imposes a substantial health and economic burden on the countries of Latin America. Further research is necessary to characterise screening/assessment practices and identify evidence-based solutions to this persistent and costly public health issue.
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Metadata
- Authors
- Correia, M. I. T. D., Perman, M. I., & Waitzberg, D. L.
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 36
- Issue
- 4
- Pages
- 958-967
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2503488168
- Cited by
- 363
- References
- 87
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
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